Notice of Data Incident
August 1, 2023

Dear Patients:
We post this Notice pursuant to the United States Health Insurance Portability and Accountability Act (“HIPAA”) to inform you about a data incident involving an unauthorized release of patient Protected Health Information (“PHI”), as that is defined by HIPAA, at Gary Motykie, M.D., a Medical Corporation and Gary Motykie, M.D. (“Practice”), a covered entity under HIPAA.

PHI, as defined by HIPAA, is information that is “created, received, maintained, or transmitted by or on behalf of the health care component of the Covered Entity.” § 164.105 (a)(2)(i)(D). Information that is created or received by a Covered Entity and that relates to the past, present, or future physical or mental health or condition of an individual; or the past, present, or future payment for the provision of healthcare to an individual is considered PHI. PHI is required to be protected when transmitted or maintained in any form by a Covered Entity. Individual identifiers (including but not limited to name, address, telephone number, fax, email address, social security number, medical record number, etc.) maintained in a designated record set along with health information (including but not limited to x-rays, images, scans, physician notes, diagnoses, treatment, eligibility approvals, claims, remittances, etc.) are collectively considered PHI.

Event Description:
On or about June 6, 2023, an initial technical analysis of the Practice’s information technology network determined an unauthorized release of PHI occurred to an unknown third party. The initial analysis determined that the unknown third party accessed the Practice’s network. It was further determined that the unknown third party acquired some of the Practice’s patient’s unencrypted PHI and that party was not authorized to do so and did so in an unlawful manner.

The information that may have been accessed or acquired during this unauthorized access included:

  • First and last name 
  • Social Security Number (if provided)
  • Address
  • Driver’s license or identification card number
  • Financial account or payment card number, in combination with any required CVV code
  • Intake forms, which may include medical information and history
  • Images taken in connection with the services rendered at our office
  • Health insurance information (if provided)
Steps Taken to Address:
Upon discovery, the Practice took the following immediate steps to address the situation:
  • Computers and servers replaced
  • Network passwords changed
  • Endpoint detection, virus, and malware detection tools and software installed on workstations and server
  • Limitations concerning Internet access
  • Access controls put in place for users based on role and responsibility
  • Server policies in place
  • Device locking mechanisms
  • Multi factor authentication enabled
  • Network segregation efforts
  • Encryption of devices
  • Additional workforce training
Risk Assessment:

The Practice conducted a risk assessment to evaluate the potential harm to potentially impacted individuals. Based on that assessment, it is determined that there is a high risk of harm. It is essential for potentially impacted individuals to remain vigilant in monitoring their personal accounts and data and promptly report any suspicious activity to law enforcement or their financial institutions.

Assistance and Resources:
Starting on or about June 22, 2023, letters were mailed to patients providing the following resources to assist the potentially impacted individuals, offering at no cost:
  • two (2) years of no cost Triple Bureau Credit Monitoring/Triple Bureau Credit Report/Triple Bureau Credit Score/Cyber Monitoring services.
  • the services also include reviewing whether Information appears on the dark web and alert the individual if such Information is found online.
  • proactive fraud assistance to help with any questions in event a potentially impacted persons becomes a victim of fraud.

Steps to Prevent Future Incidents: We deeply regret any inconvenience or concern this Incident may cause. The Practice is taking numerous steps to help prevent similar Incidents in the future. We will continue to review and enhance our security measures, policies, and employee training.

If you failed to receive your letter in the mail, and/or if there is a concern your mailing address has changed since you were a patient at the Practice, please contact 1-800-405-6108 or call our office immediately at 310-246-2355 from 9:00 am to 5:00 pm Pacific time, Monday through Friday.


Rhinoplasty (Nose Job) Surgery

Rhinoplasty (Nose Job) SurgeryBoard certified plastic surgeon, Dr. Gary Motykie, provides advanced and innovative cosmetic surgery procedures, including rhinoplasty. Dr. Motykie believes that rhinoplasty is one of the more intricate procedures in plastic surgery, even though it may seemingly appear to be a minor procedure. Patients in Beverly Hills, West Hollywood, Los Angeles, and surrounding areas may receive rhinoplasty and other treatments at Dr. Motykie’s practice.

Need for Rhinoplasty

A beautiful face is the innate need of any human being. Nose is the central part of the face that can have a significant bearing on the overall facial appearance. Even a slightest imbalance or anomaly in the size or shape of the nose can compromise the aesthetic profile of the face. It could be something as minor as a bump on the nasal bridge or a slightly wider nasal tip, but it can make an otherwise good looking face appear ordinary.

The attention will typically get drawn towards the anomaly in the nose rather than all the good features of the face. Therefore, an experienced cosmetic surgeon such as Dr. Motykie pays special attention to this procedure for his patients in Beverly Hills, West Hollywood, Los Angeles, and nearby locations. Subtle surgical improvements to the nose can have a dramatic impact to enhance the overall facial appearance.

In some cases, rhinoplasty plastic surgery may also be required to correct functional aberrations of the nose. If the patient finds it difficult to breathe through the nostrils due to certain obstruction, the plastic surgeon may recommend rhinoplasty as an effective way to restore the normal function of the nose.

Who is a Suitable Candidate?

Any individual who is bothered by his or her size, shape or appearance of the nose may be an outstanding candidate for rhinoplasty. The procedure may be performed on adults, but some teenagers may also be suitable candidates if the nose and other features of the face have developed completely.

Sometimes a patient may be looking for another procedure such as chin augmentation, but the surgeon may recommend a combination of rhinoplasty and chin surgery to achieve the desired impact for the face. Non-smokers or those who are willing to stop smoking several weeks prior to the surgery will be preferred for this surgery.

Nose Surgery Procedure

Rhinoplasty is typically performed as an outpatient procedure under general anesthesia or intravenous sedation. The cosmetic surgeon may begin the procedure by making an incision from the inside of the nostrils or from outside the nose. This choice will depend on the complexity and extent of surgery involved.

When the surgery is performed from inside the nose, scarring is not visible from outside. The surgeon will re-sculpt the nose to its desired size and shape through the incision. Cartilage grafting or synthetic implants may be used if it is necessary to augment the nose or re-construct a nose.


Results with rhinoplasty will become fully visible as the swelling and bruising resolves over several weeks. In most cases, the results are long lasting or even permanent.

To see more services and treatments provided by Plastic Surgeon, Dr. Motykie in Beverly Hills | Los Angeles and his team please visit:

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